Generic Cialis: From Definition to Canadian Health&Care Mall Customers Reviews

Generic Cialis – innovative and popular drug for men suffering from erectile dysfunction. This section provides details about Cialis as drug used in ED treatment. Cialis based on tadalafil – ideal to prolong sexual activity to maximum. Canadian Pharmacy Cialis is available virtually in every pharmacy, but the best price for Cialis on Canadian Health&Care Mall.

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Cialis Application:

ED, Erectile Dysfunction, Erection, Impotence

Cialis Generic names:

Tadalafil, generic cialis

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  1. What is Generic Cialis?
  2. Cialis Composition
  3. Cialis Pharmacology
  4. Cialis Indications
  5. How to use Cialis?
  6. Mechanism of Action
  7. What should you Know about Cialis Generics?
  8. Cialis Side Effects
  9. Cialis Contraindications
  10. Cialis Overdose and its Symptoms
  11. Cialis Interactions with Other Medications
  12. Cialis Special Instructions
  13. Cialis Unique Properties
  14. Cialis History of Creation
  15. Cialis for Women
  16. Cialis vs Viagra vs Levitra
  17. Cialis for BHP
  18. Cialis for BHP
  19. FAQs about Cialis
  20. Cialis and Alcohol

Cialis

Canadian Pharmacy Cialis – Complete Set of Information

What is Generic Cialis?

Generic Cialis 20 mg – contemporary medication to fight erectile dysfunction, the main property of which – prolonged effect. Cialis effect duration lasts up to 48 hours under ideal conditions.

Cialis main ingredient is Tadalafil. Due to this substance, canadian pharmacy Cialis 20 mg generic provides long-lasting and high-quality erection with even the most severe sexual health problems.

It is noteworthy that Cialis has passed all clinical research, and also received FDA approval, which implies direct confirmation of:

  • high quality;
  • safety;
  • effectiveness.

Table- Cialis Summary by Canadian Pharmacy Mall

Trade NameCialis
Pharmacological GroupPDE5 inhibitor (phosphodiesterase-5)
Cialis Active IngredientTadalafil
Pharmacological Formalmond-shaped, film-covered pills with oval points

Cialis Composition

The main Cialis active ingredient – Tadalafil. This component has an effect on erectile function and is not harmful to male health. When Cialis taken in recommended dosage, substance does not cause allergic reactions and any other side effects.

Tadalafil performs directly on:

  • penile blood vessels;
  • relaxing muscles;
  • causing strong erection.

Tadalafil can be combined with alcohol beverages in small quantities, as well as with a number of drugs.

Cialis Composition OnlineGeneric Cialis Canada includes the following additive agents:

  • talc;
  • lactose;
  • magnesium stearate;
  • sodium lauryl sulfate.

These substances are safe for male body and are not addictive. Cialis is produced in the form of film-coated pills. Each capsule formulation contains 20 mg of tadalafil (Cialis daily dosage).

Cialis Pharmacology

Tadalafil belongs to reversible inhibitors of PDE-5 and has a selective effect on reproductive system. Action mechanism is similar to the whole group of PDE5 drugs. Once sexual excitement begins, nitric oxide releases starting hemodynamic erection appearance process.

The drug increases cGMP level, which directly affects corpora cavernosa smooth muscles relaxation and increases blood flow to it, which causes persistent erection and willingness to have sexual intercourse during 36 hours. Tadalafil is considered the most active enzyme of all PDE5 inhibitors belonging to this group, so it is much more productively from similar drugs for potency.

Cialis Indications

Cialis online is prescribed for any form of erectile dysfunction, regardless of etiologic factor causing ED.

How to use Cialis?

Cialis 20 mg should be taken 30-40 minutes before planned sexual intercourse. At first drug use, Cialis recommended dose is 10 mg. If you conduct infrequent sexual life, it is better to take 20 mg Cialis pill.

Canadian Pharmacy Mall points out that 20 mg is the maximum daily dose. It should also be noted that presence of serious problems with kidneys, liver and cardiovascular system reduces dose up to 5 mg. In this case, you will protect yourself from possible Cialis side effects.

Mechanism of Action

Tadalafil influences penile smooth muscles resulting in increased blood flow and ensures erection. Special Cialis formula allows you to keep effect duration for 48 hours.

What should you Know about Cialis Generics?

Generic MedicationsCialis Generics are produced by different manufacturers, with variety of:

  • forms;
  • dosages;
  • contraindications;
  • side effects.

Therefore, to make the right choice, get acquainted with the information given by Canadian Health and Care Mall.

About Generic Cialis Manufacturers

For instance, Canadian Health Care Mall has said that generics’ efficiency and safety depends on manufacturer’s reliability. If company’s name is widely known in pharmaceutical market if it has established itself as a reliable over many years, one can not doubt its products quality.

We would like to note that we offer Cialis produced by known and trusted companies only:

  • Sunrise Remedies Pvt. Ltd.;
  • Delta Enterprises;
  • Ajanta Pharma Ltd.;
  • Cipla;
  • Combitic Global.

About Generic Cialis Dosages

Buy generic Cialis online via Canadian Health Care Mall, the price of which is many times less vs brand drug, it obtains one more enjoyable advantage: this generic medication has variety of dosages. This is useful for selecting optimal dose in each case. You can buy just the one that best suits you. The original drug is available in tablets containing only 5 and 20 mg of Cialis active ingredient. Here you will find Cialis tablet with 2.5, 5, 10, 20, 40, 60 mg. 2.5 and 5 mg – prophylactic dose for maintenance of male health. Cialis 20 mg – recommended daily dose for men who suffer from erectile dysfunction. The rest of dosage – increased ones. Their use can only be prescribed by a doctor.

About Pharmaceutical Forms

In our online store you will be able to choose generic Cialis in any convenient for you form: tablets, absorbing and chewing pills (Soft), gel (jelly) capsules with liquid active substance and tablet with double action (two active substances).

If you prefer to simply swallow medicine and forget about its existence, you may purchase Cialis tablets. Doctor will help you to choose correct dosage. Their effect begins after about half an hour after you take it.

About Cialis Indications for Use

All medications containing active substance Tadalafil, are intended for men with erectile dysfunction of any severity and occurred for any reason. They can also be used for prevention of failure during sexual intercourse, when it can cause increased tension and excitement. Small dosing regimen can be used to maintain sexy men in tone as much as possible. But, medication should be taken no more than once per day.

About Generic Cialis Contraindications

Before you purchase generic Cialis, Canadian HealthCare Mall advise certainly to consult a doctor. He adequately:

  • assesses state of your health and possibility of its use for you;
  • takes into account existing contraindications.

It should be noted that some contraindications have absolute value. If they are ignored it can cause serious injuries.

Cialis Side Effects

Cialis Side effects are usually mild to moderate in severity, transient and decreases when prolong course is.

Cialis Side Effects List:

  • The most frequent: headache (11%), dyspepsia (7%).
  • Possible: pain, back pain, myalgia, nasal congestion, flushing.
  • Rare: eyelids swelling, eye pain, conjunctival hyperemia, dizziness.
  • Very rare: hypersensitivity reactions (which include rash, hives, and face swelling, Stevens – Johnson syndrome and exfoliative dermatitis), hypotension (in patients who are already taking antihypertensive agents), hypertension and syncope, abdominal pain and gastroesophageal reflux, hyperhidrosis (excessive sweating), priapism, erection retention, blurred vision, anterior ischemic optic neuropathy, retinal vein occlusion, sight disturbance.
  • Cardiovascular system: in patients with cardiovascular risk factors – myocardial infarction, sudden cardiac arrest, blood stroke, chest pain, palpitations and tachycardia, but it is impossible to pinpoint whether these phenomena are connected directly with tadalafil application, with sexual stimulation, or combination of these or other factors.Cialis Side Effects and Contraindications

Cialis Contraindications

Cialis for potency increase, can not be taken by boys under 18, women and men with allergy to any Cialis ingredient. Do not use Cialis if you are hypersensitive to tadalafil because it may cause serious body poisoning and health problems.

Cialis should not be taken in case of:

  • chronic heart diseases;
  • unstable angina and high blood pressure;
  • renal or hepatic impairment;
  • penile trauma and other inflammatory processes.

Tadalafil is not combined with medications, which contain:

  • nitrates;
  • alpha-blockers;
  • nitrogen donators.

It is also contraindicated to men means for whom sexual activity is prohibited.

Among them there may be people suffering from acute heart failure and uncontrolled arrhythmia.

Cialis Overdose and its Symptoms

The maximum Cialis daily dose is 40 mg (two Cialis tablets). However, to use such a tadalafil quantity is possible only after consultation with specialist. To avoid overdose it is recommended to use Cialis standard daily dose20 milligrams.

An overdose of Cialis pills causes increased expression of side effects and sharp deterioration in patient’s health state. Having felt the first overdose symptoms, patient should seek medical advice immediately.

Cialis Interactions with Other Medications

Other Drugs’ Influence on Cialis

Cialis is mainly metabolized by CYP3A4 enzyme. Selective CYP3A4 inhibitor -ketoconazole increases AUC by 107%, and rifampicin reduces it by 88%. Despite the fact that specific interactions have not been studied, it can be assumed that protease inhibitors such as ritonavir and saquinavir, and inhibitors of CYP3A4, such as itraconazole, and erythromycin, increase Cialis activity.

Simultaneous antacid (magnesium hydroxide / aluminum hydroxide) and tadalafil intake reduces absorption rate of the latter without changing AUC.

Increased gastric pH as a result of receiving blocker nizatidine histamine H2-receptors, has no effect on tadalafil pharmacokinetics.

Cialis Effect on Other Drugs

Cialis enhances hypotensive nitrates effect. It happens due to additive effect of nitrates and tadalafil on nitric oxide and cGMP metabolism. Therefore, Cialis appointment is contraindicated during treatment with nitrates.

Cialis has no clinically significant effect on drugs clearance that are metabolized with participation of cytochrome P450 isoenzymes.

Studies have confirmed that tadalafil does not inhibit or induce isozymes of:

  • CYP3A4;
  • CYP1A2;
  • CYP2D6;
  • CYP2E1;
  • CYP2C9.

Cialis has no clinically significant effect on pharmacokinetics of S-and R-warfarin. Tadalafil does not affect warfarin action on prothrombin time.

Cialis does not increase bleeding duration on background of acetylsalicylic acid.

Cialis does not show clinically significant interaction with major classes of antihypertensive agents including:

  • calcium channel blockers (amlodipine);
  • ACE inhibitors (enalapril);
  • beta blockers (metoprolol);
  • alpha-blockers;
  • thiazide diuretics (bendoflyuazid);
  • angiotensin II receptor blockers.

There are no differences in adverse events in patients taking Cialis with or without antihypertensive drugs. There was no effect of Cialis single dose on concentration of ethanol in blood, effect of ethanol on cognitive function and blood pressure. Furthermore, no changes were observed on tadalafil concentration in blood in 3 hr after administration in combination with ethanol.

Canada Cialis has no clinically meaningful effect on theophylline pharmacokinetics and pharmacodynamics.

Cialis Special Instructions

Since there are no data of controlled clinical studies on Cialis safety and efficiency in patients with renal severe insufficiency (creatinine clearance <= 30 mL / min) and severe hepatic impairment, drug use in these patients should be carried out with caution and only when absolutely necessary. Treatment with Cialis in patients with renal moderate insufficiency (creatinine clearance 31-50 mL / min) was provoked back pain compared to patients with mild renal insufficiency (creatinine clearance 51-80 ml / min) or in healthy volunteers. Patients with creatinine clearance <= 50 ml / min, the drug should be used with caution.

Sexual activity is potential risk for patients with cardiovascular disease. Therefore, erectile dysfunction treatment, including when using Cialis, should not be held for men with heart disease, for whom sexual activity is not recommended.

It is necessary to take into account potential risk of complications during sexual activity in patients with cardiovascular system diseases:

  • myocardial infarction within 90 days prior;
  • unstable angina or angina occurring during sexual intercourse;
  • chronic heart failure (II functional class and higher NYHA classification), which developed during the last 6 months;
  • uncontrolled heart rhythm disorder;
  • hypotension (blood pressure less than 90/50 mm Hg), or uncontrolled hypertension;
  • stroke, myocardial within the last 6 months.

Cialis should be used with caution in patients with predisposition to priapism (eg, in sickle-cell anemia, multiple myeloma or leukemia), or in patients with anatomical penile deformation (for example, angulation, cavernous fibrosis or Peyronie’s disease).

The patient should be informed of need for immediate treatment when erection lasts for 4 hours or more. Untimely priapism treatment causes penile tissues damage, as a result of this long-term potency loss may occur.

Cialis Unique Properties

First, Canadian Health and Care Mall notes Cialis reliability.

It is most effective if erectile dysfunction occurred on background of:

  • psychological causes;
  • physical causes;
  • psychosomatic causes.

Cialis PropertiesOne of the most important characteristics that determine Cialis popularity, – high safety and excellent tolerability. List of Cialis contraindications online is significantly shorter than that of sildenafil. And side effects – rather exceptional phenomenon.

If you’re going to forget about problems in sex for a long time and want to spend it at your leisure, medicine can help you do this. Why? Cialis effect lasts up to 36 hours. All this time, you can be quite sure that there are no failures during intercourse.

Those who are impatient or those who need to get results faster, it is also better to buy Cialis via Canadian Pharmacy. It takes effect within half an hour.

Cialis great advantage is that it can be used in conjunction with small portions of alcohol and low-fat food.

In this case, note that large doses of alcohol may cause Cialis side effects aggravation.

Cialis History of Creation

Cialis was developed by Glaxo Wellcome (today GlaxoSmithKline) in a partnership between Glaxo and ICOS, which began in August 1991. In 1993, Bothell, Washington saw how biotechnology company ICOS Corporation began studying compound IC351, inhibitor of phosphodiesterase type 5 enzyme (PDE-5). In 1994, Pfizer researchers explored that sildenafil (future – Viagra), which also inhibits PDE-5 enzyme, caused penile erection in men participating in clinical trial. Although ICOS scientists were not testing compound IC351 for ED treatment, they recognized its potential usefulness in this disorder treatment. Soon, in 1994, ICOS obtained a patent for compound IC351 and in 1995 the first phase of clinical trials started.

In 1997, Phase 2 was started involving men suffering from erectile dysfunction, then tests have progressed to phase 3, after completion of which possible FDA approval was obtained. Although Glaxo had an agreement with ICOS to distribute profits 50/50 from Cialis sale, resulting from collaboration, in 1996 Glaxo let agreement expire, because Cialis development was not the key to the company’s main markets’ aims.

In 1998, ICOS Corporation and Eli Lilly and Company established Lilly ICOS, LLC, a joint venture to further development and commercializing of tadalafil as erectile dysfunction treatment. Two years later, Lilly ICOS, LLC filed a new application with FDA on the IC351 compound (under tadalafil generic name and brand name Cialis).

In May 2002, Lilly ICOS on report in American Urological Association reported that clinical trials have shown that tadalafil was effective up to 36 hours, and a year later, FDA approved tadalafil as ED drug. One advantage – Cialis vs Viagra vs Levitra is its 17.5 hour half-life.

In 2007, Eli Lilly and Company bought ICOS Corporation for $ 2.3 billion.

October 6, 2011, FDA approved tadalafil as treatment for benign prostatic hyperplasia (BPH). FDA also approved tadalafil for treatment of BPH and erectile dysfunction (ED) at the same time.

Cialis for Women

Cialis can be used women, after women would consult a doctor-sexologist and make analyzes to determine hormonal balance.

With a decrease in hormone estrogen associated with aging and menopause, women experience some changes in sexual function. Such changes include:

  • reducing production of vaginal lubrication;
  • decreased genital sensation.
  • In addition, studies show that low levels of male hormone – testosterone also reduces:
  • sexual excitement;
  • libido;
  • orgasm.Cialis for Women

Study is conducted relating to advantages of hormones and drugs, including Levitra and Cialis for female sexual problems treating.

Women can not independently appoint man’s solutions to improve erectile function. It can lead to serious health problems.

Female Cialis: Reviews of Patients and Physicians, Contraindications

Some women in forums and reviews say about women’s Cialis that this means really helps. Perhaps it may be connected to improved blood flow to genitals in patients with impaired blood circulation.

However, sexual response in women is much more complex when comparing to men. Woman is very attached to emotions, as well as many chemical and hormonal reactions. Therefore, only gynecologist or sexologist can assign female Cialis or its analogs, such as female Viagra, after studying results of analysis of hormones level.

Question about whether Cialis generic can help women with sexual problems, problems with excitement remains controversial. Currently, there is no information available to determine whether Cialis helps women with sexual desire disorders.

Officially, manufacturer does not claim that Cialis can help women achieve sexual excitement, only because it helps men. The manufacturer points out that this drug does not help to increase sexual desire. Cialis works by preventing enzyme phosphodiesterase type 5 action, which is responsible for regulating erection. Due to tadalafil action, penile tissues are filled with blood and penis is retained in “combat” position. In principle, this mechanism of action is extremely effective in case of male physiology. But it is unknown whether this enzyme plays a role for female excitement.

Cialis vs Viagra vs Levitra

Viagra, Cialis and Levitra are essential drugs for erectile dysfunction treatment. The drug Viagra is time-tested (sildenafil citrate, active ingredient). Viagra was opened over 25 years ago. High scientific evidence base and extensive clinical trials of Viagra are basic and not the only advantage over the other drugs. Levitra (Vardenafil is active ingredient) – a relative newcomer in pharmaceutical market. Cialis (tadalafil – active ingredient) – appeared in 2003. All three drugs perform on corpus cavernosum, contributing to its blood supply and causing persistent erection. The mechanism of action is the same.

The Main Differences between Cialis, Levitra and Viagra

  • The most decisive indicator of efficiency – action duration. Viagra works up to 6 hours, Levitra – 10, and Cialis up to 36 hours (it is called “weekend drug”). Canadian Cialis is more comfortable in use, as there is no problem that its action suddenly ends;
  • Time ingestion. There – Levitra is leader, it starts to be active 15 minutes after ingestion. Viagra takes effect in 30-45 minutes. Cialis is best taken 30 minutes before sexual intercourse;
  • The dependence of meal and alcohol. The medicinal Viagra effect is greatly reduced when receiving abundant and fatty foods, so it is always taken on empty stomach. Simultaneous use of alcohol can weaken Viagra effect. On therapeutic Levitra and Cialis action meal (especially fat) and alcohol – have almost no effect;
  • Half-life. This indicator is important for people suffering from cardiovascular and renal diseases. The use of these drugs in conjunction with nitroglycerin – dangerous to life! The smallest half-life (3-5 hours.) Viagra has. Levitra half-life is up to 6 hours, Cialis – 18 hours, it is contraindicated (absolutely) to patients taking nitroglycerin;
  • Effect on color perception. Viagra causes change of colour perception. Cialis and Levitra do not have such side effect;
  • In diabetes metabolism is always in disorder. Drugs absorption into bloodstream deteriorates. By virtue, Levitra is superior to Viagra and Cialis, so its effectiveness in diabetics is higher. Cialis is safer for diabetics, but it works a little weaker;
  • Cialis and Viagra, if their action is insufficient or ineffective, can be replaced by Levitra;
  • Dosage. Viagra contains 50 or 100 mg of active substance. Cialis and Levitra contains 20 mg of active ingredient;
  • Side effects from drugs are the same and are quite rare. Levitra should not be used in case of penile deformation. Cialis is more secure. When failed sexual intercourse, Cialis causes less negative feelings.
  • The problem of drug choice depends on many factors. For elderly patients Cialis is preferable. When erectile dysfunction of psychogenic nature – Viagra is mandatory. When metabolic disorders – Levitra. Correctly select product – it is the most important step in erectile dysfunction treatment.

Cialis for BHP

Cialis (tadalafil) is approved in Europe for prostate adenoma treatment.

Cialis (tadalafil) of Eli Lilly American pharmaceutical company production, obtained approval of new indications for use. The European Commission has authorized Cialis use for treatment of signs and symptoms of benign prostatic hyperplasia – BPH. Initially, the drug was approved by European regulators in 2002 for erectile dysfunction treatment.

Due to this approval, Cialis was the only drug in Europe for men suffering from erectile dysfunction and BPH. Therefore, approval of a single product for both indications in patients is a new successful treatment option.

FDA issued a registration certificate of Cialis online (tadalafil) in the last year, approved it as a treatment for symptoms of benign prostatic hyperplasia, as well as for use in men with erectile dysfunction and BPH. Also, drug has already been approved in Canada, Brazil, Russia, Israel and other countries for the same application.

FAQs about Cialis

Q: How does Cialis Affect Libido?

It is important to understand that this drug, like all generics, is not a means that artificially increases libido. So Cialis will be effective only if there is sexual partner (male or female) and sexual excitement.

Q: Cialis and Severe Erectile Dysfunction

The drug is effective in any erectile function violations.

Q: Action of Cialis on Sperm Production Process

Cialis is absolutely safe and does not disturb male reproductive function, maintains quality and quantity of sperm, all its indicators are normal.

Q: How Long and Often you can Take Cialis?

Cialis can be taken at will, depending on nature and temperament. However, to avoid overdose, it is not recommended to take drug more than once a day.

Q: Does half of Cialis Pill Work?

To get the most tangible tadalafil effect, a drug is recommended for intake in its usual dosage – 20 mg.

Q: Women and Cialis

For female population it is created special medications to solve problems with sexual excitement, such as female Viagra. Cialis is designed exclusively for men.

Q: Cialis Intake in Diabetes

This drug is designed specifically for people who have health problems as a whole. Cialis safety allows you to take it in case of diabetics, with very effective results.

Q: I take Cialis, but I do not feel effect, whether Erection will Appear?

It depends on what you are doing. If you sit at computer, or just read a book, you waste time waiting for signs of sexual excitement. You must see and feel natural source, ie a sexual partner. Here it is necessary to understand that drug has a kind of “rejuvenating effect”, to remember fullness of the most vivid satisfaction from sexual intercourse.

Cialis and Alcohol

Cialis and AlcoholCialis and alcohol can be used in conjunction, but only by adhering to certain rules. More information about interaction of alcohol and Cialis are presented below selected by Canadian Health&Care Mall.

It’s no secret that sexual desire and attraction increases many times when consuming alcohol. However, alcohol consumption, especially in large quantities, greatly reduces sexual function in men with normal and even healthy erection, not to mention men with potency disorder.

Cialis – a popular and spectacular means to increase erectile function, which for many years used by men of all ages to solve potency disorder, and to increase erectile function. Often in life there are such situations (birthday, stag, etc.) when you want to combine Cialis and alcohol. In this connection question of Cialis use and alcohol are interested in many men.

Research on Alcohol and Cialis Effects

According to clinical research of company Eli Lilly, Cialis active ingredient – Tadalafil had no significant effect on level of alcohol in body, even as alcohol does not affect concentration of tadalafil taken.

In clinical studies, patients who consumed alcohol in a dose 0.7 g / kg (approximately 180 grams of vodka /80 kg body weight) in combination with Cialis 10 mg or 20 mg, blood pressure was decreased more when using only alcohol. However Cialis intake does not cause severe side effects and gain a significant reduction in blood pressure.

In case when patients take 20 mg of Cialis with a low dose of alcohol, 0.6 g / kg (100-120 gm of vodka), decrease in blood pressure was observed, and dizziness may take place.

What is Specified in Instructions for Cialis about Alcohol?

Cialis instructions contains the following recommendation:

  • do not drink large amounts of alcohol, for example, no more than 5 glasses of wine or 5 servings of whiskey.
  • Excessive alcohol dose is likely to increase Cialis side effects: dizziness, headache, or increased heart rate.

Cialis Use with more alcohol can also cause hypotension (decrease in blood pressure by more than 20%).

The operating principle of strong alcohol and Cialis is quite similar – both are vasodilators, and their combination increases:

  • blood flow;
  • heart rate;
  • lowering blood pressure.

What to Do if often Taking Cialis and Alcohol?

If you want to drink alcohol frequently and / or in large quantities, while also taking Cialis, then you definitely need to consult a doctor.

He will prescribe the correct Cialis dosage and alcohol, following which you will not cause more harm to body and at the same time preserve Cialis effectiveness. Perhaps you can find other contraindications to consuming alcohol.

Recommendations for Cialis and Alcohol

Small doses and infrequent alcohol use in combination or in process of Cialis adoption will not cause any problems for most men. Do not abuse alcohol or limit its reception, when you need to take Cialis pill.

It is worth remembering that a large dose of alcohol not only reduces Cialis effect and enhances side effects, but also alcohol itself has very negative effect on erection and can lead to potency disorders.

All mentioned above is true for generic Cialis, generic absolutely identical to original, both in composition, in actions and side effects.

Reviews from our customers
Logan, 35
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Alex, 60
I normally achieve erection, but it does not last as long as I want. Yesterday I took one Cialis pill having fear of side effects, but in fact, nothing happened. The desired hardness is kept stably when it is necessary for 12 hours. I'm very impressed.
Dimon, 33
After 18 months of weak erection, which often disappeared before penetration, my relationship broke down and I completely lost interest in sex that for my 33 was quite disturbing. I found a new partner, but it was the same , because of which confusion, depression appear. I'm not exaggerating when I say that Cialis has completely changed my life. 30 minutes after taking a dose of 10 mg I have erection, such as I was 18 years old. I even feel that Cialis drug raised libido and made my penis in flaccid state. Absolutely no side effects, now I can have sex 3-4 times during night and in the morning again. No problems with ejaculation also. The incredible cure for any who are suffering from impotence. It will completely change your life.
Twink, 45
Excellent drug, after the first dose of Cialis, I had headache and stuffy nose, but it eliminated the problem with erection up to 36 hours. I was able to have sex several times after the first dose. After the second dose, head does not ache, and nasal congestion were not, but there was back pain. Subsequent receptions were not provoked side effects appearance. This is consistent with literature which states that side effects usually get better or decreases with repeated use. I'm amazed what this pill can do. I wake up in the morning having erection. To have one dose of 20 mg, it acts not less than 36 hours, sometimes even up to 48 hours. These pills gave me confidence again.
John, 63
I am 63-year-old man who had impotence. I say was, because Cialis is completely cured my dysfunction, and again allowed to enjoy sexual life. Headache occurs sometimes when Cialis high dose is taken, so I buy Cialis 20 mg and cut it in half. It keeps me ready for three days ... including night and morning erection.
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